CAJ | 학술논문

目的分析长期血液透析患者骨关节改变的MRI表现,探讨X线平片、CT及MRI对透析患者相关骨关节病的诊断价值.方法对32例长期血液透析患者的肩、髋、手腕关节及腰椎进行X线平片、CT检查,其中26例行MR检查.结果 32例患者X线检查见骨质疏松28例,骨吸收11例,囊性骨质破坏6例,骨质硬化11例,关节肿胀1例,软组织内钙化19例;32例患者CT见骨质疏松32例,骨吸收9例,囊性骨质破坏12例,骨质硬化11例,关节肿胀3例,软组织内钙化19例;26例患者MRI见骨质疏松6例,骨吸收2例,囊性骨质破坏14例,骨质硬化5例,关节肿胀15例,软组织内钙化1例.结论 X线平片是观察血液透析患者骨改变的首选诊断手段;MRI是观察血液透析患者关节改变的首选诊断手段;在透析患者相关骨关节病的诊断与鉴别诊断方面,CT和MRI是X线平片重要的补充手段.
목적 분석장기혈액투석환자골관절개변적MRI표현,탐토X선평편、CT급MRI대투석환자상관골관절병적진단개치.방법 대32례장기혈액투석환자적견、관、수완관절급요추진행X선평편、CT검사,기중26례행MR검사.결과 32례환자X선검사견골질소송28례,골흡수11례,낭성골질파배6례,골질경화11례,관절종창1례,연조직내개화19례;32례환자CT견골질소송32례,골흡수9례,낭성골질파배12례,골질경화11례,관절종창3례,연조직내개화19례;26례환자MRI견골질소송6례,골흡수2례,낭성골질파배14례,골질경화5례,관절종창15례,연조직내개화1례.결론 X선평편시관찰혈액투석환자골개변적수선진단수단;MRI시관찰혈액투석환자관절개변적수선진단수단;재투석환자상관골관절병적진단여감별진단방면,CT화MRI시X선평편중요적보충수단.
Objective To analyze the MRI characters of hemodialysis-related osteoarthropathy in long-term dialysis recipients, and to evaluate the diagnostic value of X-ray, CT, and MRI on hemodialysis-related osteoarthropathy. Methods The shoulders, hips, wrists and lumbar vertebraes of 32 patients underwent X-ray and CT examinations. Twenty-six of them received MRI examinations. Results In X-ray of 32 patients, 28 appeared osteoporosis, 11 showed bone resorption, 6 had cystic lesions, 11 had bone sclerosis, 1 had joint swelling, and 19 had soft tissue calcification. In CT of 32 patients, 32 appeared osteoporosis, 9 showed bone resorption, 12 had cystic lesions, 11 had bone sclerosis, 3 had joint swelling, and 19 had soft tissue calcification. In MRI of 26 patients, 6 appeared osteoporosis, 2 showed bone resorption, 14 showed cystic lesions, 5 had bone sclerosis, 15 had joint swelling, and 1 showed soft tissue calcification. Conclusions X-rays plain film is the first choice for the diagnosis of hemadialysis-related osteopathy, and MRI is the first choice for the diagnosis of hemedialysis-related arthropathy. CT and MRI is pretty useful in the diagnosis of hemodialysis-related osteoarthropathy.